HomeMy WebLinkAbout259815 06/16/16 �u!4!qy CITY OF CARMEL, INDIANA VENDOR: 370691
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® ONE CIVIC SQUARE ZHENQI SHI CHECK AMOUNT: $********56.00*
f.. _� CARMEL,.INDIANA 46032 6523 PADDLE DR CHECK NUMBER: 259815
9.y`,�TON. CARMEL IN 46033 CHECK DATE: 06/16/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2000274006 56.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Shi, Zhenqi Allowed 20
6523 Paddle Dr
Carmel, IN 46033
In Sum of$
$ 56.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-35 2000274006 4358400 $ 56.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
June 9, 2016
Signature
$ 56.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Administrative Offices -1
1411 E. 116th Street lum&n2016�11-�35 AMS�
Carmel, IN 46032
Phone: (317) 843-3875
FAX: --
Email: info@carmelclayparks.com 9C
ay
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HEI\CQI SHz� NATIONAL
4'6033--J AND. ACCREDITED AGENCY
�652�o€?ADDLE DRQ,
Prepared By: Iordanh
Customer ID: 25315
Primary phone: (41 2) 526-5465, Secondary phone: (412) 567-2722
Refund Summart/
Check: ($56.00) Check #
Total Received: ($56.00) Total Refund: ($56.00)
Transactions
Customer Description Item Unit, Qty;' Fee Charge
Emma 5hi Pre-Rhythmic Gymnastics#165321-01 Activity Each. 1.00- $56.00 ($56.00)
6623 PADDLE DR Action:Withdraw Fee
Gairmel,IDI 46033 Withdrawal Date:Jun 6,2016
Prffmary phone: (412)526-
5466 Meets:From May 5,2616 to 3une 13,2016
Emaio: -- Each Thursday from 6:300 m to 7/:15pm
IID:25316 Location:
Wilfong Pavilion(Whole)at Founderts Park
Total Charges ($56.00)
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Tota1jP.,ajments���S�
Balance $0
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